To provide you with the best possible care, we ask that you complete this medical intake form before your appointment. The information you share helps us understand your health history, current concerns, and any specific needs, so we can tailor our services to you.
Please answer each section as accurately as possible. All information provided will remain
confidential and protected in accordance with HIPAA.

Thank you for taking the time to complete this form—we look forward to supporting your health and wellness journey.

Desert International is the parent company behind a diverse portfolio of brands focused on education, business solutions, publishing, apparel, and creative services. Committed to innovation and community empowerment, the company supports entrepreneurs, professionals, and families through products and services designed to educate, inspire, and create lasting impact. Through its growing network of businesses, Desert International continues to build opportunities that promote growth, creativity, and lifelong learning.